| NPI | 1598253833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A175261) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 21313) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2023-07-11 |